期刊文献+
任意字段
题名或关键词
题名
关键词
文摘
作者
第一作者
机构
刊名
分类号
参考文献
作者简介
基金资助
栏目信息

髓内钉与锁定接骨板治疗肱骨近端2部分骨折的疗效比较 被引量：6

原文传递
导出
摘要 目的比较髓内钉与锁定接骨板治疗肱骨近端2部分骨折的临床效果。方法对随机抽取的30例明显移位的肱骨2部分骨折进行回顾性研究,其中15例应用髓内钉固定,另外15例应用锁定接骨板固定。结果影像学比较,髓内钉固定组的颈干角平均为124°,锁定接骨板固定组平均为120°。6个月随访时,髓内钉固定组的肩关节外展角度平均为134°,锁定接骨板固定组平均为141°。2组肩关节活动度和术后并发症比较差异无统计学意义(P>0.05)。结论采用髓内钉固定或者锁定接骨板固定治疗肱骨近端2部分骨折均能达到固定满意、肩关节活动好的临床效果。2组术后并发症虽然无显著性差异,但髓内钉固定操作难度大,容易出现术后并发症。
作者 黄焱 徐勇强 阎戈 康亦峰 魏磊平 王愉思
机构地区 湖南省人民医院创伤骨病科
出处 《中国骨与关节损伤杂志》 2014年第7期725-726,共2页 Chinese Journal of Bone and Joint Injury
关键词 关键词 肱骨近端2部分骨折 锁定接骨板 髓内钉 内固定
分类号 R683.41 [医药卫生—骨科学]
  • 相关文献

参考文献10

  • 1Putti AB,Uppin RB, Putti BB. Locked intramedullary nailing versus dynamic compression plating for humeral shaft fractures[J]. J Orthop Surg (Hong Kong), 2009,17(2) : 139-141.
  • 2Popescu D,Fernandez-Valencia JA,Rios M,et al. Internal fixation of proximal humerus fractures using the T2-proximal humeral nail [J]. Arch Orthop Trauma Surg,2009,129(9): 1239-1244.
  • 3Sudkamp N ,Bayer J ,Hepp P,et al. Open reduction and internal fix- ation of proximal humeral fractures with use of the locking proximal humerus plate. Results of a prospective,muhicenter,observational study[J]. J Bone Joint Surg(Am),2009,91(6):1320-1328.
  • 4Trepat AD,Popescu D,Fernandez-Valencia JA,et al. Comparative study between locking plates versus proximal humeral nail for the treatment of 2-part proximal humeral fractures[J]. Eur J Orthop Surg Traumatol, 2012,22(5) : 373-379.
  • 5Konrad G, Audig6 L, Lambert S, et al. Similar outcomes for nail ver- sus plate fixation of three-part proximal humeral fractures [J]. Clin Orthop Relat Res,2012,470(2) :602 -609.
  • 6Tanner MW,Cofield RH. Prosthetic arthroplasty for fractures and fracture-dislocations of the proximal humerus [J]. Clin Orthop, 1983,179 : 116-128.
  • 7Brunner F,Sommer C,Bahrs C, et al. Open reduction and internal FLxation of proximal humerus fractures using a proximal humeral locked plate:a prospective muhicenter analysis[J]. J Orthop Trauma, 2009,23(3) : 163-172.
  • 8蔡国平,陈海啸.锁定加压钢板治疗肱骨近端骨折失效分析[J].中国骨与关节损伤杂志,2011,26(5):462-463. 被引量：10
  • 9Agudelo J,Schtirmann M,Stahel P,et al. Analysis of efficacy and failure in proximal humerus fractures treated with locking plates[J]. J Orthop Trauma, 2007,21 (10) : 676-681.
  • 10韦盛旺,赵友明,杨杰,郭晓山,陈华,杨翔,陈林.锁定钢板治疗肱骨近端骨折术后并发症的相关因素分析[J].中国骨与关节损伤杂志,2012,27(1):15-17. 被引量：47

二级参考文献12

  • 1周蔚,罗从风,翟伟韬,张长青,曾炳芳.锁定接骨板治疗肱骨近端骨折[J].中国骨与关节损伤杂志,2006,21(1):1-3. 被引量：76
  • 2Cornell CN.Internal fracture fixation in patients with osteoporosis.J Am Aead Orthop Surg,2003,11(2) : 109.
  • 3Liew AS,Johnson JA,Patterson SD,et al.Effect of screw placement on fixation in the humeral head.J Shoulder Elbow Surg, 2000,9:423.
  • 4Hepp P ,LiU H, Bail H, et al.Where should implants be anchored in the humeral head.Clin Orthop ,2003,415 : 139.
  • 5Agudelo J, Sehurmann M, Stahel P, et al. Analysis of efficacy and failure in proximal humerus fractures treated with locking plates[J]. J Orthop Trauma, 2007, 21(10): 676.
  • 6Egol KA, Ong CC, Walsh M, et al. Early complications in proximal humerus fractures (OTA Types 11) treated with locked plates [J]. J Orthop Trauma, 2008, 22(3): 159.
  • 7Lill H, Hepp P, Rose T, et al. Proximal humeral fractures: how stiff should an implant be? A comparative mechanical study with new implants in human specimens [J]. Arch Orthop Trauma Surg, 2003, 123(2-3): 74.
  • 8Gardner M J, Weil Y, Barker JU, et al. The importance of medial support in locked plating of proximal humerus fractures [J]. J Orthop Trauma, 2007,21(3): 185.
  • 9Hertel R, Hempfing A, Stiehler M, et al. Predictors of humeral head ischemia after intracapsular fracture of the proximal humerus [J]. J Shoulder Elbow Surg, 2004, 13(4): 427.
  • 10侯辉歌,林宏生,吴昊,查振刚.肱骨近端锁定钢板治疗复杂的肱骨近端骨折[J].中国骨与关节损伤杂志,2008,23(2):120-122. 被引量：46

共引文献53

同被引文献57

  • 1蔡兵,于沈敏,慕小瑜,李敏,张鹏翼,江建春.老年肱骨近端四部分骨折三种不同手术方法的疗效比较[J].上海医学,2008,31(10):715-717. 被引量：5
  • 2徐小东,张殿英,付中国,王天兵,陈建海,杨明,芦浩.锁定钢板与交锁髓内钉治疗肱骨近端骨折的疗效分析[J].中华肩肘外科电子杂志,2014,2(4):230-234. 被引量：16
  • 3文良元,薛庆云,黄公怡,纪权,王晓滨.老年肱骨近端骨折的内固定治疗[J].中华骨科杂志,2004,24(11):641-644. 被引量：56
  • 4黄强,王满宜,荣国威.复杂肱骨近端骨折的手术治疗[J].中华骨科杂志,2005,25(3):159-164. 被引量：198
  • 5Charles M Court-Brown,Ashima Garg,Margaret M McQueen.The epidemiology of proximal humeral fractures[J]. Acta Orthopaedica . 2001 (4)
  • 6Constant C R,Murley A H G.A clinical method of functional assessment of the shoulder. Clinical Orthopaedics and Related Research . 1987
  • 7Jan-Magnus Bj?,rkenheim,Jarkko Pajarinen,Vesa Savolainen.??Internal fixation of proximal humeral fractures with a locking compression plate A retrospective evaluation of 72 patients followed for a minimum of 1 year(J)Acta Orthopaedica . 2004 (6)
  • 8G. Boudard,G. Pomares,L. Milin,I. Lemonnier,H. Coudane,D. Mainard,J.P. Delagoutte.??Locking plate fixation versus antegrade nailing of 3- and 4-part proximal humerus fractures in patients without osteoporosis. Comparative retrospective study of 63 cases(J)Orthopaedics & Traumatology: Surgery & Research . 2014
  • 9Comparative study between locking plates versus proximal humeral nail for the treatment of 2-part proximal humeral fractures(J)European Journal of Orthopaedic Surgery & Traumatology . 2012 (5)
  • 10Gerhard Konrad,Laurent Audigé,Simon Lambert,Ralph Hertel,Norbert P. Südkamp.??Similar Outcomes for Nail versus Plate Fixation of Three-part Proximal Humeral Fractures(J). 2012 (2)

引证文献6

二级引证文献71

中国骨与关节损伤杂志
2014年 第7期

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部